Objective: To explore the relationship between suicidal ideation and stigma, disclosure and social support in HIV /AIDS patients.
Methods: A total of 1146 HIV-infected /AIDS patients were investigated by a general situation questionnaire, Perceived Social Support Scale (PSSS), Beck Suicidal Ideation Scale (Chinese version) (BSI-CV), disclosure questionnaire and Stigma Scale (SSS-S) on a WeChat platform.
Results: 54.01% (619/1146) of the sample reported having suicidal ideation in the past week or at the height of depression; The results of multivariate logistic regression analysis showed that In SS-S, the affective dimension [OR value (95%CI) was 1.63(1.17-2.26)], the cognitive dimension [OR value (95%CI) was 2.06 (1.48-2.87)], the behavioral dimension [OR value (95%CI) was 2.05 (1.53-2.76)], and the family support [OR value (95%CI) was 0.64 (0.47 ~ 0.87)], which were associated with suicidal ideation in HIV /AIDS patients; Social support mediated between AIDS-related stigma and suicidal ideation (19.80% of the total effect).
Conclusion: Suicidal ideation in HIV /AIDS patients is strongly associated with stigma, awareness, and perceived social support. So, stigma, awareness, and perceived social support should be incorporated into the suicide intervention system for HIV /AIDS patients.